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Implementing Value-Based Care Models

At World Health Care Congress, Amar Desai, M.D., MPH, president of HealthCare Partners, told Inside Digital Health™ that it is hard to implement things like value-based care payment models when the payment system in the U.S. really values transactions and volume over value and coordination.

Desai said that in Southern California and his local market, they have value-based payments in the form of capitation.

But the government, through the U.S. Centers for Medicare and Medicaid, does demonstration projects and innovative pilots. And plans and providers in other local markets work together to create more risk-based arrangements, so providers bear more financial risk for the care.

To really drive value-based care, Desai believes driving away from fee-for-service-based payment models and these projects in local markets and from government agencies are the most important thing.

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